Abstract
Bilateral extended radical neck dissection with upper mediastinal dissection and free jejunum transplantation after pharyngolaryngectomy with esophagotomy was performed for 26 patients with advanced (stages 3 and 4) hypopharyngeal carcinoma. The three-year survival rate as determined by the accumulative method was 64%. Local recurrence occurred in two patients, and neck lymphnode recurrence appeared in two patients. The survival and diseasefree rates of these patients were significantly higher than in 22 patients with advanced hypopharyngeal carcinoma who received staged bilateral neck dissection and DP flap reconstruction. As for complications, two patients died from surgery and pneumonia. Swallowing was severely impaired in five patients. These complications tended to increase in senile patients. The results suggest that extended neck dissection with jejunum transplantation is effective in increasing the survival rate for advanced hypopharyngeal carcinoma, although it increases complications in senile patients.
